It's time to make smart choices - Choices that fit your life - 2017 Annual Enrollment Benefits Guide

 
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It's time to make smart choices - Choices that fit your life - 2017 Annual Enrollment Benefits Guide
Choices that fit your life.

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smart choices.
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                              2017 Annual Enrollment Benefits Guide
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What’s                  Know                    Health                 Financial                Other     Important
Home
Home    New                  and Enroll                Options                Options                 Benefits    Contacts

       Your Tenet Healthcare Benefits
                                                                                                                         How to use this guide:
       Find Your Fit!
                                                                                                                         • First, click the “Let’s GO” button.
       2017 Tenet benefits are all about you and finding the plans that fit your life. You make                          • Then, click through the PDF using
       patient care and safety a priority, that’s why Tenet makes you a priority.                                          the navigation buttons on the
                                                                                                                           bottom right of each page.
       For current employees going through Annual Enrollment
                                                                                                                         • You also can go directly to a
       We are pleased to offer more options, more value and more flexibility. Our 2017 plan
                                                                                                                           section using the tabs across
       improvements represent an even larger investment in you, our valued colleagues.
                                                                                                                           the top.
       • What’s New for 2017
                                                                                                                         Within a section, you can jump right
       • How to Enroll for Benefits                                                                                      to the content you want using the
                                                                                                                         navigation on the left side of that
       Please read this guide for highlights about your benefits and important changes.
                                                                                                                         section.
       Remember to enroll during the Annual Enrollment window, November 7–18, 2016.

       For newly hired/newly eligible employees                                                                              Let’s GO
       Welcome to Tenet! This guide will give you the information you need to enroll in Tenet
       benefits for the first time. If you want to have benefits for 2017, you will need to enroll
       within 31 days of your date of hire or eligibility date.
       • New hires/newly eligible
       • Eligibility

       If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
       and/or union representative as your plan provisions may be different.

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What’s
                     What’s                  Know                    Health                 Financial                Other       Important
    Home              New
                      New                  and Enroll                Options                Options                 Benefits      Contacts

What’s New           What’s New
 Medical
                     Medical Options
 Dental
                     We are ensuring quality amongst our plan offerings across facilities and markets to give employees a consistent
Know and Enroll      experience when selecting health plans. You will be able to select between the following plans:
                     • EPO Plan
Health Options
                     • PPO Plan
Financial Options
                     • Health & Reimbursement Plan, which includes a Health Reimbursement Account (HRA)
Other Benefits       • Health & Savings Plan, which includes a Health Savings Account (HSA)
and Discounts
                     When it comes to choosing a medical plan, there’s no such thing as “one-size-fits-all.” We urge you to actively learn
Important Contacts
                     about all of the plans so you can decide what makes the most sense for your personal situation, even if that means
                     trying a new plan for 2017.

                     See the plan details and medical plans comparison chart in the Health Options section.

                     Other important changes include the following:
                     • Gap exception process no longer required for in-network care — You will no longer have to go
                       through a “gap exception” process in order to use a non-Tenet, in-network facility. In 2017, if you choose a
                       non-Tenet facility that is in-network with your insurance carrier, you will pay the in-network rate or co-insurance
                       amount without having to go through any approval process. Please note: You will pay your plan’s in-network
                       co-insurance, not the Tenet network rate, so the cost will be slightly higher.

                                                                                                                           Other Important Changes

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s
                     What’s                  Know                    Health                 Financial                Other     Important
    Home              New
                      New                  and Enroll                Options                Options                 Benefits    Contacts

What’s New           Medical Options (continued)
 Medical             • Physician waivers removed — Tenet has decided to remove physician waivers in 2017. This means Tenet
                       doctors are not permitted to waive patient co-insurance costs.                                                           What is
 Dental                                                                                                                                         ACO/CIO?
                     • Salary banding removal — We are ensuring consistency in what our colleagues contribute toward their plans
                       (the premium that comes out of their paycheck). This means plan rates have been leveled across all colleagues            Tenet ACO/CIO
Know and Enroll
                       and premiums are no longer based on salary bands.                                                                        is a group of
Health Options                                                                                                                                  physicians
                     • Network Name Change — No more Tier 1, Tier 2 and Tier 3. We’re trying to make things simpler, so we’re now               that Tenet has
Financial Options
                       calling the networks by their “real” names to help you better understand how your doctor or facility fits into the big   brought together
                       picture. From now on we will refer to them as:                                                                           to provide
Other Benefits          • Tenet Network: These providers are physicians who are only employed by Tenet, Tenet-owned facilities and
and Discounts                                                                                                                                   coordinated,
                          Tenet ACO/CIO physicians.                                                                                             high-quality care
Important Contacts      • In-Network: These are providers and facilities that are not Tenet or ACO/CIO physicians but that are in your          to our patients
                          insurance carrier’s network.                                                                                          and communities.

                        • Out-of-Network: These are providers that are not in your insurance carrier’s network. You will pay the highest
                          rate if you choose one of these providers. Some plans do not offer any out-of-network benefits.
                     • Tenet Network change — We’re clarifying the Tenet Network. As mentioned above, in 2017, the Tenet Network
                       will consist of physicians employed by Tenet, facilities owned by Tenet and ACO/CIO physicians only. With the
                       other enhancements being made for 2017, you and your dependents will have exceptional access to In-Network
                       physicians across many specialties in your insurance carrier’s network. It’s an additional benefit to be able to tap
                       into our Tenet network of providers when possible. With access to both of these networks, colleagues have
                       many affordable options to choose from.

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s
                     What’s                  Know                    Health                 Financial                Other     Important
    Home              New
                      New                  and Enroll                Options                Options                 Benefits    Contacts

What’s New           Dental Carrier and Options
 Medical             The dental plan is enhanced for 2017 and now includes the following features:
                     • New carrier — Delta Dental will replace Cigna as your dental carrier.
 Dental
                     • Increased annual maximum for each eligible family member (from $1,200 to $1,500).
Know and Enroll        This means each family member has $1,500 of dental coverage during 2017.

Health Options
                     • Increased child orthodontia lifetime maximum coverage (from $1,000 to $1,500).
                     • New adult orthodontia coverage will be available (with a lifetime maximum of $1,500).
Financial Options

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know
                                             Know                    Health                 Financial                Other     Important
    Home              New                 and
                                           and Enroll
                                               Enroll                Options                Options                 Benefits    Contacts

What’s New           Know and Enroll
                     Enrollment Checklist
Know and Enroll

 Enrollment
 Checklist           For current employees, Annual Enrollment is November 7–18, 2016. Here’s what you need to know to be ready.
 How to Enroll       Newly hired/newly eligible employees should follow steps 2 through 4.

 Eligibility
                                   1. Review your current year plans, and consider how well those benefits are working for your family.
Health Options                         Would making a change be more beneficial than your current elections?

Financial Options

Other Benefits                     2. Review the options explained in this guide.
and Discounts

Important Contacts                 3. If you need to add or change dependents, gather their personal information before you begin the
                                       enrollment process.

                                   4. W
                                       hen you’re ready, enroll. Click here for detailed instructions.

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know
                                             Know                    Health                 Financial                Other     Important
    Home              New                 and
                                           and Enroll
                                               Enroll                Options                Options                 Benefits    Contacts

What’s New           How to Enroll
Know and Enroll      Review this guide, and discuss the options with your family. If you intend to enroll dependents or provide beneficiary
                     information for the first time, you also will need their full names, birth dates and Social Security numbers to complete
 Enrollment          your enrollment session.
 Checklist

 How to Enroll                     1. Go to MyTenet.com and log in.

 Eligibility
                                      • Your login credentials for MyTenet.com are the same as those that you use for eTenet.
                                      •F
                                        orgot your username or password? Click the “Forgot your username and/or password” link.
Health Options                         Or log in to eTenet and click the MyTenet icon.

Financial Options                  2. Go to the MyTenet benefits enrollment webpage.
Other Benefits                        • During Annual Enrollment, click the special Annual Enrollment icon that appears on the home page.
and Discounts
                                      • At other times of the year (for new employees or Life Event changes), go to My Benefits >
Important Contacts                      Enrolling/changing benefits > Benefits Enrollment Website. Review all the online materials.
                                        When you are ready to enroll, click the “Enroll Now!” button.
                                      • You will be redirected to Tenet’s benefits enrollment website. Click the “Enroll” link.
                                      • Review the various resources available on the page.

                                   3. Click the “Enroll in Your Benefits” link, and follow the online prompts to select your 2017 benefits.

                                   4. Click the “Submit” button when you have completed your selections.

                                   5. Print the Completed Successfully page, and review it for accuracy.

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know
                                             Know                    Health                 Financial                Other             Important
    Home              New                 and
                                           and Enroll
                                               Enroll                Options                Options                 Benefits            Contacts

What’s New           Eligibility
Know and Enroll      You are eligible for Tenet benefits based on your employee status:

 Enrollment            Full-Time                                                    Part-Time 1                                            Part-Time 2
 Checklist             (Scheduled to work 30 or more hours per week)                (Scheduled to work 24 to 29 hours per week)            (Scheduled to work less than 24 hours per week)

 How to Enroll
                       Voluntary Plans                                              Voluntary Plans                                        Voluntary Plans
                       (You must enroll to participate in these plans.)             (You must enroll to participate in these plans.)       (You must enroll to participate in these plans.)
 Eligibility           •   Medical (includes prescription drug)                     •   Medical (includes prescription drug)               • 401(k) Retirement Savings Plan
    New Hires/         •   Dental                                                   •   Dental                                             • Added Benefits
    Newly Eligible
    Dependents
                       •   Vision                                                   •   Vision                                             Automatic Plans
    Life Events        •   Flexible Spending Accounts                               •   Flexible Spending Accounts                         (You do not need to enroll in these plans.)
    Medicare           •   Supplemental Life and AD&D                               •   Supplemental Life and AD&D                         • Employee Assistance Program (EAP)
                       •   Disability                                               •   Disability                                         • Employee Discount Program
Health Options         •   401(k) Retirement Savings Plan                           •   401(k) Retirement Savings Plan
Financial Options      •   Employee Stock Purchase Plan                             •   Employee Stock Purchase Plan
                       •   Accident                                                 •   Accident
Other Benefits
and Discounts
                       •   Critical Illness                                         •   Critical Illness
                       •   Long-Term Care                                           •   Added Benefits
Important Contacts
                       •   Added Benefits                                           Automatic Plans
                       Automatic Plans                                              (You do not need to enroll in these plans.)
                       (You do not need to enroll in these plans.)                  • Chronic Care Program
                       •   Basic Life and AD&D                                      • Employee Assistance Program (EAP)
                       •   Chronic Care Program                                     • Employee Discount Program
                       •   Employee Assistance Program (EAP)
                       •   Employee Discount Program

                     If you gain eligibility due to the Affordable Care Act, you will be offered ACA Compliant Coverage.                                                Continued
                     Notification of eligibility status will be communicated by the MyBenefits Customer Support Center.

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know
                                             Know                    Health                 Financial                Other     Important
    Home              New                 and
                                           and Enroll
                                               Enroll                Options                Options                 Benefits    Contacts

What’s New           Eligibility
Know and Enroll      If You Are Newly Hired or Newly Eligible for Benefits
 Enrollment
                     You must enroll within 31 calendar days from your date of hire or eligibility date. If you do not enroll for benefits
 Checklist           within 31 days, you must wait for another enrollment opportunity — Annual Enrollment or another qualifying event
                     (see Life Event Changes).
 How to Enroll

 Eligibility
                     Dependents
    New Hires/       If you enroll for benefits coverage, you may cover certain family members, including:
    Newly Eligible
    Dependents
                     • Your legal or common law spouse
    Life Events      • Your same- or opposite-sex domestic partner who meets the domestic partner requirements
    Medicare         • Your children up to age 26, living inside or outside the family home, regardless of student status, including:
                        • Natural-born children
Health Options
                        • Stepchildren
Financial Options
                        • Foster children
Other Benefits          • Children for whom you are the legal guardian
and Discounts
                        • Children ordered to be covered through a Qualified Medical Support Order
Important Contacts
                        • Your children of any age who are mentally or physically disabled and were disabled prior to age 26

                                                                                                                                      Continued

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know
                                             Know                    Health                 Financial                Other     Important
    Home              New                 and
                                           and Enroll
                                               Enroll                Options                Options                 Benefits    Contacts

What’s New           Eligibility
Know and Enroll      Life Event Changes
 Enrollment
                     You may change your benefit choices either at Annual Enrollment or when you have a Qualified Life Event.
 Checklist           A Qualified Life Event includes the following:
 How to Enroll       • Marriage or divorce
                     • Birth, adoption or change in custody of the employee’s child
 Eligibility
                     • Change in the employee’s or spouse’s employment status
    New Hires/
    Newly Eligible
                     • Death of the employee’s spouse and/or dependent
    Dependents
                     • Leave of absence taken by the employee
    Life Events
    Medicare         • Gain or loss of coverage
                     • A significant change in the health coverage of the employee or spouse attributable to the spouse’s employment
Health Options
                     • You or your spouse becomes entitled to Medicare benefits
Financial Options
                     This list is not all-inclusive. You must request the change within 31 days of the event. To request a change, go to
Other Benefits       MyTenet.com or call the MyBenefits Customer Support Center at 877-46-TENET (877-468-3638). Documentation
and Discounts        may be required.
Important Contacts
                     If You Are Eligible for Medicare
                     Please review the Medicare and Your Medical Plan FAQs on MyTenet.com.

                                                                                                                                      Continued

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know                    Health
                                                                    Health                  Financial                Other     Important
    Home              New                  and Enroll               Options
                                                                    Options                 Options                 Benefits    Contacts

What’s New           Health Options
Know and Enroll
                     Medical Plans Overview
Health Options
                     You may choose from the following medical coverage options:
 Medical Plans
 Overview
                     • EPO Plan
                     • PPO Plan
 Networks
                     • Health & Reimbursement Plan
 Medical Plans
 Comparison Chart    • Health & Savings Plan
 Tobacco
 Surcharge           The amount you pay for your healthcare depends on what healthcare services you receive and what provider you
                     see (whether they are Tenet, in- or out-of-network). Generally, here’s how the plans work:
 Health Savings
 Account             • For many services, you pay an annual deductible before your plan begins paying benefits. Then you pay a
 Health                portion of the cost (co-insurance) and the plan pays the rest. The plan you choose will dictate your share of the
 Reimbursement         co-insurance.
 Account

 Prescription
                     • In some plans, services such as a doctor’s office visit may require a co-pay. This is a fixed dollar amount that you
 Drugs                 must pay (not a percentage like co-insurance), but you do not need to meet your deductible first.

 Dental              • For all plans, certain preventive care visits and screenings — depending on age and gender — are covered at
                       100 percent, which means you pay nothing for those services if you use a Tenet or In-Network provider. See the
 Vision
                       medical plans comparison chart for details.
Financial Options

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know                    Health
                                                                    Health                  Financial                Other     Important
    Home              New                  and Enroll               Options
                                                                    Options                 Options                 Benefits    Contacts

What’s New           How the Medical Plans Work: Networks
Know and Enroll      It can be confusing to know how much the plans will cover until you understand the networks. Keep the following
                     in mind:                                                                                                                 What is
Health Options                                                                                                                                ACO/CIO?
                     Tenet Network — Plain and simple, this is your Tenet discount plan. These providers include physicians who are
 Medical Plans       employed by Tenet, Tenet-owned facilities, and Tenet ACO/CIO physicians.                                                 Tenet ACO/CIO
 Overview                                                                                                                                     is a group of
                     In-Network — These are providers who are not Tenet-employed, -owned or ACO/CIO physicians but they are in                physicians
 Networks
                     your insurance plan’s network.                                                                                           that Tenet has
 Medical Plans                                                                                                                                brought together
 Comparison Chart    Out-of-Network — This tier is made up of out-of-network providers. You will pay the most when you choose
                                                                                                                                              to provide
                     out-of-network providers and some plans do not offer any out-of-network benefits.
 Tobacco                                                                                                                                      coordinated,
 Surcharge
                     See the plan medical plans comparison charts for details.                                                                high-quality care
 Health Savings                                                                                                                               to our patients
 Account
                     Once your benefits take effect, you can check to see if a doctor is in-network by visiting the website or calling your   and communities.
 Health              insurance carrier.
 Reimbursement
 Account

 Prescription
 Drugs

 Dental

 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                   Know                   My Health
                                                                       Health
                                                                       Health                   Financial                  Other                    Important
    Home               New                   and Enroll                Options
                                                                      Options                   Options                   Benefits                   Contacts

What’s New
                     Medical Plans Comparison Chart
                     Please see the Networks section of this guide if you have any questions about providers included in Tenet Network, In-Network and
Know and Enroll      Out-of-Network.
Health Options
                                                                                EPO Plan                             PPO Plan                             Health &                  Health & Savings Plan
 Medical Plans                                                                                                                                       Reimbursement Plan
 Overview
                      Annual                  Tenet Network        $0                                    $0                                    $0                              $1,300/$2,600
                      Deductible
 Networks                                     In-Network           $800/$2,400                           $800/$2,400                           $1,600/$3,200                   $1,300/$2,600
                      (individual/family)
                      Applies to
 Medical Plans                                Out-of-Network       N/A                                   $1,600/$4,800                         $3,200/$6,400                   $2,400/$4,800
 Comparison Chart
                      out-of-pocket max.
                      Annual                  Tenet Network        $4,000/$12,000                        $4,000/$12,000                        $6,450/$12,900                  $5,200/$10,400
 Tobacco
 Surcharge            Out-of-Pocket           In-Network           $4,000/$12,000                        $4,000/$12,000                        $6,450/$12,900                  $5,200/$10,400
                      Maximum
 Health Savings       (individual/family)     Out-of-Network       N/A                                   Unlimited                             Unlimited                       Unlimited
 Account
                      Medical Account         All Networks         N/A                                   N/A                                   Health Reimbursement Account    Health Savings Account
 Health               (individual/family)                                                                                                      (HRA) – Tenet will contribute   (HSA) – Annual company
 Reimbursement                                                                                                                                 $300/$600                       contribution: $50/$100
 Account
                      Physician Care          Tenet Network        Physician – $30 co-pay                10%                                   10%                             10% after deductible
 Prescription         Office visit;                                Specialist – $45 co-pay
 Drugs                IP/OP/ER;
                      basic X-ray/lab1        In-Network           Physician – $30 co-pay                20% after deductible                  20% after deductible            20% after deductible
 Dental
                                                                   Specialist – $45 co-pay
 Vision                                       Out-of-Network       N/A                                   60% after deductible                  75% after deductible            60% after deductible
                      Preventive              Tenet Network        $0                                    0%                                    0%                              0%
Financial Options     Services                In-Network           $0                                    0%                                    0%                              0%

Other Benefits
                                              Out-of-Network       N/A                                   Full cost                             Full cost                       Full cost
and Discounts
                     * For more information about Tenet discount policies, refer to Policy AD2.06 located on eTenet.

Important Contacts
                     1
                       Certain advanced tests and/or X-rays (MRI, CT scans, etc.) require pre-authorization. Call the Member Services number on your medical ID card.                      Continued

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                   Know                   My Health
                                                                       Health
                                                                       Health                   Financial                   Other                 Important
    Home               New                   and Enroll                Options
                                                                      Options                   Options                    Benefits                Contacts

What’s New
                     Medical Plans Comparison Chart (continued)

Know and Enroll                                                                 EPO Plan                             PPO Plan                            Health &                    Health & Savings Plan
                                                                                                                                                    Reimbursement Plan
Health Options        Inpatient               Tenet Network        Facility – $0*                        Facility – 10%*                       Facility – 10%*                   Facility – 10% after deductible*
 Medical Plans                                                                                           Professional – 10%                    Professional – 10%                Professional – 10% after
 Overview                                                                                                                                                                        deductible
                                              In-Network           Facility – $500 co-pay per            Facility – 10% after deductible       Facility – 20% after deductible   Facility – 10% after deductible
 Networks                                                          admission                             Professional – 20% after              Professional – 20% after          Professional – 20% after
 Medical Plans                                                                                           deductible                            deductible                        deductible
 Comparison Chart                             Out-of-Network       N/A                                   Facility – 60% after deductible       Facility – 75% after deductible   Facility – 60% after deductible
 Tobacco                                                                                                 Professional – 60% after              Professional – 75% after          Professional – 60% after
 Surcharge
                                                                                                         deductible                            deductible                        deductible
 Health Savings       Outpatient1             Tenet Network        Facility – $0*                        Facility – 10%*                       Facility – 10%*                   Facility – 10% after deductible*
 Account
                                                                                                         Professional – 10%                    Professional – 10%                Professional – 10% after
 Health                                                                                                                                                                          deductible
 Reimbursement
 Account                                      In-Network           Facility – $250 co-pay                Facility – 10% after deductible       Facility – 20% after deductible   Facility – 10% after deductible
 Prescription
                                                                                                         Professional – 20% after              Professional – 20% after          Professional – 20% after
 Drugs                                                                                                   deductible                            deductible                        deductible
                                              Out-of-Network       N/A                                   Facility – 60% after deductible       Facility – 75% after deductible   Facility – 60% after deductible
 Dental
                                                                                                         Professional – 60% after              Professional – 75% after          Professional – 60% after
                                                                                                         deductible                            deductible                        deductible
 Vision
                     * For more information about Tenet discount policies, refer to Policy AD2.06 located on eTenet.
Financial Options    1
                       Certain advanced tests and/or X-rays (MRI, CT scans, etc.) require pre-authorization. Call the Member Services number on your medical ID card.                    Continued
Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                   Know                   My Health
                                                                       Health
                                                                       Health                   Financial                   Other                 Important
    Home               New                   and Enroll                Options
                                                                      Options                   Options                    Benefits                Contacts

What’s New
                     Medical Plans Comparison Chart (continued)

Know and Enroll                                                                 EPO Plan                             PPO Plan                            Health &                    Health & Savings Plan
                                                                                                                                                    Reimbursement Plan
Health Options        Maternity Care          Tenet Network        Facility – $0*                        Facility – 10%*                       Facility – 10%*                   Facility – 10% after deductible*
 Medical Plans                                                     Physician – $30 co-pay                Professional – 10%                    Professional – 10%                Professional – 10% after
 Overview                                                          (initial visit only)                  Prenatal care – 10%                   Prenatal care – 10%               deductible
                                                                   Specialist – $45 co-pay                                                                                       Prenatal care – 10% after
 Networks
                                                                   (initial visit only)                                                                                          deductible
 Medical Plans                                In-Network           Facility – $500                       Facility – 10% after deductible       Facility – 20% after deductible   Facility – 10% after deductible
 Comparison Chart
                                                                   Physician – $30 co-pay                Professional – 20% after              Professional – 20% after          Professional – 20% after
 Tobacco                                                           Specialist – $45 co-pay               deductible                            deductible                        deductible
 Surcharge
                                                                                                         Prenatal care – 20% after             Prenatal care – 20% after         Prenatal care – 20% after
 Health Savings                                                                                          deductible                            deductible                        deductible
 Account
                                              Out-of-Network       N/A                                   Facility – 60% after deductible       Facility – 75% after deductible   Facility – 60% after deductible
 Health                                                                                                  Professional – 60% after              Professional – 75% after          Professional – 60% after
 Reimbursement                                                                                           deductible                            deductible                        deductible
 Account
                                                                                                         Prenatal care – 60% after             Prenatal care – 75% after         Prenatal care – 60% after
 Prescription                                                                                            deductible                            deductible                        deductible
 Drugs
                     * For more information about Tenet discount policies, refer to Policy AD2.06 located on eTenet.
 Dental              1
                       Certain advanced tests and/or X-rays (MRI, CT scans, etc.) require pre-authorization. Call the Member Services number on your medical ID card.                    Continued
 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     15
What’s                   Know                   My Health
                                                                       Health
                                                                       Health                   Financial                  Other                  Important
    Home               New                   and Enroll                Options
                                                                      Options                   Options                   Benefits                 Contacts

What’s New
                     Medical Plans Comparison Chart (continued)

Know and Enroll                                                                 EPO Plan                             PPO Plan                            Health &                     Health & Savings Plan
                                                                                                                                                    Reimbursement Plan
Health Options        Emergency Care          Tenet Network        Emergency Room – $100 ER fee Emergency Room – $100 ER fee Emergency Room – $100 ER fee Emergency Room – $100 ER fee
                                                                   (waived if admitted) + 10%*  (waived if admitted) + 10%*  (waived if admitted) + 10%*  (waived if admitted) + 10% after
 Medical Plans
 Overview                                                          Ambulance – $0               Ambulance – 20%              Ambulance – 10%              deductible*
                                                                                                                                                                                  Ambulance – 20% after
 Networks                                                                                                                                                                         deductible
                                              In-Network           Emergency Room – $100 ER              Emergency Room – $100 ER              Emergency Room – $100 ER           Emergency Room – $100 ER
 Medical Plans
 Comparison Chart
                                                                   fee (waived if admitted)              fee (waived if admitted)              fee (waived if admitted)           fee (waived if admitted)
                                                                   + 10% after deductible                + 10% after deductible                + 10% after deductible             + 10% after deductible
 Tobacco
 Surcharge
                                                                   Ambulance – $0                        Ambulance – 20% after                 Ambulance – 10%                    Ambulance – 20% after
                                                                                                         deductible                                                               deductible
 Health Savings
 Account
                                              Out-of-Network       N/A                                   Emergency Room – $100 ER              Emergency Room – $100 ER           Emergency Room – $100 ER
                                                                                                         fee (waived if admitted)              fee (waived if admitted)           fee (waived if admitted)
 Health                                                                                                  + 10% after deductible                + 10% after deductible             + 10% after deductible
 Reimbursement
 Account                                                                                                 Ambulance – 20% after                 Ambulance – 10%                    Ambulance – 20% after
                                                                                                         deductible                                                               deductible
 Prescription
 Drugs
                      Urgent Care             Tenet Network        $45 per visit*                        10%*                                  Facility – 10%*1                   Facility – 10% after deductible*1
                                                                                                                                               Professional – 10%1                Professional – 10% after
 Dental                                                                                                                                                                           deductible1
                                              In-Network           $45 per visit                         20% after deductible                  Facility – 20% after deductible1   Facility – 20% after deductible1
 Vision
                                                                                                                                               Professional – 20% after           Professional – 20% after
                                                                                                                                               deductible1                        deductible1
Financial Options
                                              Out-of-Network       N/A                                   60% after deductible                  Facility – 75% after deductible1   Facility – 60% after deductible1
Other Benefits                                                                                                                                 Professional – 75% after           Professional – 60% after
and Discounts                                                                                                                                  deductible1                        deductible1

Important Contacts   * For more information about Tenet discount policies, refer to Policy AD2.06 located on eTenet.
                     1
                       Certain advanced tests and/or X-rays (MRI, CT scans, etc.) require pre-authorization. Call the Member Services number on your medical ID card.                     Continued

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     16
What’s                   Know                   My Health
                                                                       Health
                                                                       Health                   Financial                  Other                  Important
    Home               New                   and Enroll                Options
                                                                      Options                   Options                   Benefits                 Contacts

What’s New
                     Medical Plans Comparison Chart (continued)

Know and Enroll                                                                 EPO Plan                             PPO Plan                             Health &            Health & Savings Plan
                                                                                                                                                     Reimbursement Plan
Health Options        Acupuncture/            Tenet Network        $45 co-pay                            10%                                   10%                        10% after deductible
                      Chiropractic Care
 Medical Plans                                In-Network           $45 co-pay                            20% after deductible                  20% after deductible       20% after deductible
 Overview
                      Max. 20 visits per
                      calendar year           Out-of-Network       N/A                                   60% after deductible                  75% after deductible       60% after deductible
 Networks             Outpatient              Tenet Network        $45 co-pay                            10%                                   10%                        10% after deductible
                      Physical/
 Medical Plans        Occupational/           In-Network           $45 co-pay                            20% after deductible                  20% after deductible       20% after deductible
 Comparison Chart     Speech Therapy
                      Max. 60 visits per
 Tobacco                                      Out-of-Network       N/A                                   60% after deductible                  75% after deductible       60% after deductible
 Surcharge            calendar year
 Health Savings
                      Home Healthcare         Tenet Network        $0                                    10%                                   10%                        10% after deductible
 Account              Max. 120 visits per     In-Network           $0                                    20% after deductible                  20% after deductible       20% after deductible
                      calendar year
 Health                                       Out-of-Network       N/A                                   60% after deductible                  75% after deductible       60% after deductible
 Reimbursement
 Account
                      Durable Medical         Tenet Network        $0                                    10%                                   10%                        10% after deductible
                      Equipment (DME)         In-Network           $0                                    20% after deductible                  20% after deductible       20% after deductible
 Prescription
 Drugs                                        Out-of-Network       N/A                                   60% after deductible                  75% after deductible       60% after deductible
                      Mental Health/          Tenet Network        Inpatient – $500 co-pay per           10%                                   10%                        10% after deductible
 Dental               Substance Abuse                              admission
                      Inpatient;                                   Outpatient – $250 co-pay per
 Vision               outpatient; office                           admission
Financial Options                                                  Office visit – $30 co-pay
                                              In-Network           Inpatient – $500 co-pay per           10%                                   10%                        10% after deductible
Other Benefits                                                     admission
and Discounts
                                                                   Outpatient – $250 co-pay per
                                                                   admission
Important Contacts
                                                                   Office visit – $30 co-pay
                                              Out-of-Network       N/A                                   60% after deductible                  75% after deductible       60% after deductible
                     * For more information about Tenet discount policies, refer to Policy AD2.06 located on eTenet.
                     1
                       Certain advanced tests and/or X-rays (MRI, CT scans, etc.) require pre-authorization. Call the Member Services number on your medical ID card.

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     17
What’s                  Know                    Health
                                                                    Health                  Financial                Other     Important
    Home              New                  and Enroll               Options
                                                                    Options                 Options                 Benefits    Contacts

What’s New           Tobacco Surcharge
Know and Enroll      When you enroll for medical coverage, you must complete a Tobacco Declaration. If you and your covered
                     dependents have used tobacco products (cigarettes, e-cigarettes, cigars, pipes, smokeless tobacco) within the last
Health Options       12 weeks, you will pay a surcharge every pay period for medical coverage. This higher premium relates to the higher
                     healthcare costs associated with tobacco users.
 Medical Plans
 Overview
                     The tobacco surcharge is $25 per paycheck. If you do not complete a Tobacco Declaration during enrollment,
 Networks            tobacco-related claims could be denied in the future.
 Medical Plans       If you’re ready to quit using tobacco, please contact your medical carrier to learn about resources.
 Comparison Chart

 Tobacco
 Surcharge

 Health Savings
 Account

 Health
 Reimbursement
 Account

 Prescription
 Drugs

 Dental

 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     18
What’s                  Know                  My Health
                                                                       Health
                                                                       Health                  Financial                Other     Important
    Home                 New                  and Enroll               Options
                                                                      Options                  Options                 Benefits    Contacts

What’s New              Health Savings Account
Know and Enroll         If you elect the Health & Savings Plan, you also will have a Health Savings Account (HSA).

Health Options          An HSA is an individual, tax-advantaged account that you can use to pay qualified healthcare expenses (medical,
                        prescription, dental and vision) for you, your spouse and your dependents. All HSA deposits, interest, earnings and
 Medical Plans          withdrawals (when used to pay eligible expenses) are free of federal taxes.
 Overview

 Networks               Company Funding
 Medical Plans          Tenet makes an annual company contribution of:
 Comparison Chart
                        • Employee Only: $50 (pro-rated for new enrollees)
 Tobacco
 Surcharge              • Employee + Spouse, Child(ren) or Family: $100 (pro-rated for new enrollees)
 Health Savings
 Account
                        You can elect to contribute to an HSA through automatic, pre-tax payroll deductions. You can start, stop or
    IRS Limits and      change your contribution amount at any time during the year by contacting the MyBenefits Customer Support
    Eligible Expenses   Center. Alternatively, you may make after-tax contributions by sending funds directly to Fidelity Investments (and then
    Using Your Funds    claim the contribution on your federal tax return).
 Health
 Reimbursement
 Account
                        The HSA Account Is Always Yours
                        If you enroll in a plan which is HSA-eligible, you will receive instructions from Fidelity Investments on how to open
 Prescription
 Drugs                  your HSA account.

 Dental                 Any unused HSA funds roll over from year to year. There are no time limits within which you must make withdrawals.
                        That means your HSA will always be there whenever you need it.
 Vision
                        If you change medical plans or leave Tenet for any reason, the account and all of the funds in it go with you. In any
Financial Options       of those scenarios, you will be able to use the account to pay qualified healthcare expenses, but you won’t be able
                        to contribute to your account anymore.
Other Benefits
and Discounts
                                                                                                                                         Continued
Important Contacts

                        If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                        and/or union representative as your plan provisions may be different.

     19
What’s                  Know                  My Health
                                                                       Health
                                                                       Health                  Financial                Other        Important
    Home                 New                  and Enroll               Options
                                                                      Options                  Options                 Benefits       Contacts

What’s New
                        IRS Contribution Limits
                        The annual contribution limit for HSA contributions includes any funds deposited by Tenet and any personal
Know and Enroll         contributions you make. For 2017, the limits are as follows:
Health Options
                                                                                                                                       Employee + Spouse,
                         IRS-Mandated Annual HSA Contribution Limits                        Employee Only Coverage
 Medical Plans
                                                                                                                                  Child(ren) or Family Coverage
 Overview
                         Annual HSA Contribution Maximum                                              $3,400                                 $6,750
 Networks
                         Annual Catch-Up Contributions for Age 55+                                    $1,000                                 $1,000
 Medical Plans
 Comparison Chart       As you can see in the chart above, you may make extra “catch-up” contributions if you are age 55 or older.
 Tobacco
 Surcharge              Eligible Expenses
 Health Savings         Eligible HSA expenses include any medical, dental, vision or prescription expenses that are not paid by your health
 Account
                        insurance plans. Some examples of HSA-eligible expenses include the following:
    IRS Limits and
    Eligible Expenses   • Deductibles                  • Acupuncture
    Using Your Funds
                        • Co-pays or co-insurance                 • Psychiatric care
 Health
 Reimbursement          • Contact lenses                          • Dental treatment
 Account
                        • Prescriptions
 Prescription
 Drugs                  For a complete list of eligible and ineligible expenses, you can visit the IRS website at www.irs.gov.

 Dental                 If you use HSA funds for something other than eligible expenses and are younger than 65 years old, you will have
                        to pay a 20 percent tax penalty plus income tax on those ineligible distributions; if you are over age 65, you will be
 Vision
                        required to pay income tax on such distributions.
Financial Options
                                                                                                                                               Continued
Other Benefits
and Discounts

Important Contacts

                        If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                        and/or union representative as your plan provisions may be different.

     20
What’s                  Know                  My Health
                                                                       Health
                                                                       Health                  Financial                Other     Important
    Home                 New                  and Enroll               Options
                                                                      Options                  Options                 Benefits    Contacts

What’s New
                        Using Your HSA Funds
                        There are several ways you can use your HSA funds:
Know and Enroll
                        1. You can pay at the point of sale (for example, at the pharmacy counter) by using your Fidelity HSA debit card or
Health Options             by writing a check from your Fidelity HSA checkbook. The funds will come directly out of your HSA.
 Medical Plans          2. You can pay for an eligible expense with your own money and then request reimbursement. You can do this by
 Overview
                           contacting Fidelity and asking for a distribution check; or you can have HSA funds deposited directly into your
 Networks                  regular bank account by electronic funds transfer (EFT); or you can write a check to yourself for reimbursement.
 Medical Plans          3. You can schedule and submit payments online using Fidelity’s BillPay program.
 Comparison Chart

 Tobacco                With any of these options, your account must have a balance equal to or greater than the amount you are trying to
 Surcharge
                        withdraw.
 Health Savings
 Account                Be sure to keep receipts of your eligible HSA expenses for your records as they may be required by the IRS.
    IRS Limits and
    Eligible Expenses
                        How to Open Your HSA
    Using Your Funds

 Health
                        After you have enrolled in the Health & Savings Plan, it’s your responsibility to visit Fidelity’s site at www.netbenefits.
 Reimbursement          com to open your HSA. Then just follow the online enrollment instructions.
 Account

 Prescription
 Drugs

 Dental

 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts

                        If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                        and/or union representative as your plan provisions may be different.

     21
What’s                  Know                    Health
                                                                    Health                  Financial                Other     Important
    Home              New                  and Enroll               Options
                                                                    Options                 Options                 Benefits    Contacts

What’s New           Health Reimbursement Account
Know and Enroll      If you elect the Health & Reimbursement Plan, you also will have a Health Reimbursement Account (HRA).

Health Options       An HRA is a company-funded account that you can use to pay qualified healthcare expenses (medical, prescription,
                     dental and vision) for you, your spouse and your dependents. When you enroll in the Health & Reimbursement Plan,
 Medical Plans       an HRA is opened automatically for you and is available on the first day your benefits begin.
 Overview

 Networks            Company Funding
 Medical Plans       Tenet makes an annual company contribution of:
 Comparison Chart
                     • Employee Only: $300 (pro-rated for new enrollees)
 Tobacco
 Surcharge           • Employee + Spouse, Child(ren) or Family: $600 (pro-rated for new enrollees)
 Health Savings
 Account
                     You cannot make personal contributions to an HRA.

 Health
 Reimbursement
                     Using Your HRA Funds
 Account
                     When you enroll in the Health & Reimbursement Plan, you will receive a debit card that you can use at doctors’
    Company
    Funding          offices, healthcare facilities and pharmacies. The debit card will be mailed to your home address, and you should
    Using Your       receive it before your plan becomes effective.
    HRA Funds
    Rollover         If you don’t pay for qualified expenses with the debit card, you may pay with your own money and file a claim
    HRA and HCSA     for reimbursement.
    Compatability

 Prescription                                                                                                                         Continued
 Drugs

 Dental

 Vision

Financial Options

Other Benefits
and Discounts
                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.
Important Contacts

     22
What’s                  Know                    Health
                                                                    Health                  Financial                Other     Important
    Home              New                  and Enroll               Options
                                                                    Options                 Options                 Benefits    Contacts

What’s New
                     Rollover
                     Any unused HRA funds roll over from year to year as long as you remain in the Health & Reimbursement Plan.
Know and Enroll      But the balance will be lost if you leave the Health & Reimbursement Plan or you leave Tenet.
Health Options
                     HRA and HCSA Compatibility
 Medical Plans       If you’d like to set aside more money for out-of-pocket healthcare expenses, you may open a
 Overview
                     Healthcare Spending Account (HCSA) in addition to the HRA. The debit card you will receive
 Networks            works for both your HRA and HCSA; the two programs work together seamlessly.
 Medical Plans       • Your healthcare expenses are first paid from your HCSA.
 Comparison Chart
                     • When your HCSA balance is depleted, any additional healthcare expenses are paid from your HRA.
 Tobacco
 Surcharge
                     The HCSA is used first because of the “use-it-or-lose-it” rules that are set by the IRS.
 Health Savings
 Account

 Health
 Reimbursement
 Account
    Company
    Funding
    Using Your
    HRA Funds
    Rollover
    HRA and HCSA
    Compatability

 Prescription
 Drugs

 Dental

 Vision

Financial Options

Other Benefits
and Discounts
                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.
Important Contacts

     23
What’s                  Know                  My Health
                                                                     Health
                                                                     Health                  Financial                Other     Important
    Home               New                  and Enroll               Options
                                                                    Options                  Options                 Benefits    Contacts

What’s New            Prescription Drugs
Know and Enroll       If you enroll in any of our medical plan options, you will receive prescription drug coverage administered by
                      CVS/Caremark. The amount you pay for your prescriptions depends on two things:
Health Options
                      • Which medical plan you select; and
 Medical Plans        • The tier to which the drug is assigned (generic, formulary or non-formulary).
 Overview

 Networks
                      You may purchase prescription drugs at any retail pharmacy in the CVS/Caremark network. You will receive a
                      prescription drug ID card with CVS/Caremark’s contact information.
 Medical Plans
 Comparison Chart
                      Mail Order Program
 Tobacco
 Surcharge            With the mail order drug program, you can get up to a 90-day supply of your prescriptions delivered to your home.
 Health Savings
                      If you or your dependents use maintenance prescriptions for a chronic condition — such as high blood pressure or
 Account              diabetes — they must be filled through mail order or at a retail CVS location.
 Health
 Reimbursement        With each new maintenance prescription, you may fill your prescription twice at a retail pharmacy before you must
 Account              transition to a 90-day supply through mail order or at a retail CVS location.
 Prescription
 Drugs
    Mail Order                                                                                                                         Continued
    Specialty and
    Generics
    Prescription
    Plan Comparison
    Chart

 Dental

 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts
                      If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                      and/or union representative as your plan provisions may be different.

     24
What’s                  Know                  My Health
                                                                     Health
                                                                     Health                  Financial                Other     Important
    Home               New                  and Enroll               Options
                                                                    Options                  Options                 Benefits    Contacts

What’s New
                      Specialty Pharmacy
                      Specialty medications may include drugs that are very expensive, have limited access, require complicated
Know and Enroll       treatment regimens, or have compliance issues, special storage requirements or manufacturing reporting
                      requirements. CVS/Caremark will notify you if your prescription is categorized as a specialty drug.
Health Options

 Medical Plans
                      Specialty prescriptions may be filled once at any in-network pharmacy, but subsequent fills must be made through
 Overview             the mail order program. You may request that your medication be sent to your home or a nearby CVS/Caremark
                      retail store. If the prescription is not filled through mail order after the initial fill, the claim will not be paid.
 Networks
                      Specialty medications also may be filled at Tenet-owned onsite pharmacies; for a list of these locations, please
 Medical Plans
 Comparison Chart     contact CVS/Caremark.
 Tobacco
 Surcharge            Generic Drugs Cost Less
 Health Savings       Often, generic drugs will work just as well as the brand name drugs your doctor may have prescribed. Generic
 Account
                      drugs contain the same active ingredients and are identical in dose, form and administrative method as brand name
 Health               drugs. They cost less since the manufacturer doesn’t have to pay to develop or market the drug.
 Reimbursement
 Account
                      Important note: If you fill a brand name drug when a generic is available, you may be assessed a penalty on top of
 Prescription         the brand co-pay.
 Drugs
    Mail Order
    Specialty and                                                                                                                      Continued
    Generics
    Prescription
    Plan Comparison
    Chart

 Dental

 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts
                      If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                      and/or union representative as your plan provisions may be different.

     25
What’s                   Know                    My Health
                                                                         Health
                                                                         Health                    Financial                   Other                  Important
    Home                New                   and Enroll                 Options
                                                                        Options                    Options                    Benefits                 Contacts

What’s New
                      Pharmacy Benefits Comparison Chart
                                                                                   EPO Plan                              PPO Plan                            Health &                         Health & Savings Plan*
Know and Enroll
                                                                                                                                                        Reimbursement Plan
Health Options         Retail                   Generic               $5 co-pay                             $5 co-pay                              $5 co-pay                              $5 co-pay after medical
                       (30-day supply)                                                                                                                                                    deductible
 Medical Plans
 Overview                                       Formulary             35% ($30 min., $100 max.)             35% ($30 min., $100 max.)              35% ($30 min., $100 max.)              35% ($30 min., $100 max.)
                                                                                                                                                                                          after medical deductible
 Networks
                                                Non-Formulary         50% ($40 min., $150 max.)             50% ($40 min., $150 max.)              50% ($40 min., $150 max.)              50% ($40 min., $150 max.)
 Medical Plans                                                                                                                                                                            after medical deductible
 Comparison Chart
                       Mail Order               Generic               $10 co-pay                            $10 co-pay                             $10 co-pay                             $10 co-pay after medical
 Tobacco               (90-day supply)                                                                                                                                                    deductible
 Surcharge
                                                Formulary             35% ($75 min., $200 max.)             35% ($75 min., $200 max.)              35% ($75 min., $200 max.)              35% ($75 min., $200 max.)
 Health Savings
 Account                                                                                                                                                                                  after medical deductible

 Health                                         Non-Formulary         50% ($100 min., $300 max.)            50% ($100 min., $300 max.)             50% ($100 min., $300 max.)             50% ($100 min., $300 max.)
 Reimbursement                                                                                                                                                                            after medical deductible
 Account
                      * Certain preventive medications are available at the co-pay/co-insurance level prior to the satisfaction of the deductible. For a complete listing of these medications, contact CVS/Caremark
 Prescription           at 877-906-3807. Non-preventive prescription costs apply to the medical plan deductible and out-of-pocket maximum.
 Drugs
    Mail Order
                      Diabetic supplies may be covered under the medical plan and/or under the prescription drug program. Under the prescription drug program
    Specialty and
    Generics          supplies are subject to formulary guidelines. Please contact the pharmaceutical carrier to see if your supplies are part of the formulary.
    Prescription
    Plan Comparison
    Chart

 Dental

 Vision

Financial Options

Other Benefits
and Discounts

Important Contacts
                      If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                      and/or union representative as your plan provisions may be different.

     26
What’s                  Know                    Health
                                                                    Health                  Financial                Other                Important
    Home              New                  and Enroll               Options
                                                                    Options                 Options                 Benefits               Contacts

What’s New           Dental
Know and Enroll      You have the choice of two dental plans administered by Delta Dental:
                     • Enhanced Comprehensive Plan
Health Options
                     • Preventive Plan
 Medical Plans
 Overview            With either plan, you may see any dental provider you like (the coverage is the same), but you will save money if you
 Networks
                     choose a dentist in the Delta Dental network, since the rates are negotiated.

 Medical Plans       If you use an out-of-network provider, the plan pays only “reasonable and customary” (R&C) charges. An in-network
 Comparison Chart    dentist’s charges are always within the “reasonable and customary” range, but an out-of-network provider’s may not
 Tobacco             be; if his or her charges are higher, you will be responsible for the difference.
 Surcharge

 Health Savings                                                          Enhanced Comprehensive Plan                                     Preventive Plan
 Account
                      Annual Deductible                         $25 in-network; $50 out-of-network                      No deductible
 Health
 Reimbursement        Preventive                                In-network: You pay $0, deductible waived               In-network: You pay $0
 Account
                                                                Out-of-network: Plan pays R&C after deductible          Out-of-network: Plan pays R&C
 Prescription
 Drugs                Basic                                     You pay 20% after deductible                            Not available

 Dental               Major                                     You pay 50% after deductible                            Not available
                      Annual Max. Benefit                       $1,500 per covered person per year                      Not available
 Vision
                      Lifetime Max. Orthodontic Benefit         $1,500 per covered person, child or adult               Not available
Financial Options
                     Note: You won’t receive a dental coverage card; your Social Security number is used to confirm coverage.
Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     27
What’s                   Know                      Health
                                                                        Health                    Financial                   Other                   Important
    Home               New                   and Enroll                 Options
                                                                        Options                   Options                    Benefits                  Contacts

What’s New           Vision
Know and Enroll      Tenet’s vision plan, administered by VSP, covers eye exams, lenses and frames. It also offers discounts on laser
                     eye surgery.
Health Options
                     You may visit in-network or out-of-network providers, but you’ll save money when you see a VSP provider. When
 Medical Plans       you visit an in-network provider, there are no claim forms to file. If you use an out-of-network provider, you must pay
 Overview
                     at the time of service and submit a claim form to VSP.
 Networks
                                                                                          In-Network                                                 Out-of-Network
 Medical Plans
 Comparison Chart     Examination (once per calendar year)         $10 co-pay                                                    Reimbursed up to $50
 Tobacco              Lenses (once per calendar year)              $15 co-pay                                                    Reimbursed up to $100
 Surcharge

 Health Savings
                      Frames or Contact Lenses
 Account
                      Frames (once every two years)                $170 allowance plus 20% discount on amount                    Reimbursed up to $70
 Health                                                            exceeding allowance
 Reimbursement
 Account              Contact Lenses (once per                     Elective: $150 allowance in lieu of frames                    Elective: Reimbursed up to $150 in lieu of frames
                      calendar year)                               and lenses                                                    and lenses
 Prescription
 Drugs                                                             Medically necessary*: $15 co-pay                              Medically necessary*: Reimbursed up to $210

 Dental              * Contact lenses that are prescribed solely for correcting a medical condition, such as aphakia (after cataract surgery), anisometropia, keratoconus, etc.

 Vision              Note: You won’t receive a vision coverage card; your Social Security number is used to confirm coverage.

Financial Options

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     28
What’s                  Know                    Health                 Financial
                                                                                            Financial                Other                    Important
    Home              New                  and Enroll                Options                 Options
                                                                                             Options                Benefits                   Contacts

What’s New           Financial Options
Know and Enroll
                     Flexible Spending Accounts
Health Options
                     Flexible spending accounts (FSAs) allow you to set aside pre-tax money through automatic payroll deduction and
Financial Options    then use those funds to pay for eligible healthcare or dependent care expenses.

 Flexible Spending   Tenet offers two FSAs:
 Accounts
                     • Healthcare Spending Account (HCSA)
 Healthcare
 Spending            • Dependent Day Care Spending Account (DCSA)
 Accounts

 Dependent Day       Important note: These funds have a “use it or lose it” rule, which means unused funds do not roll over from year
 Care Spending       to year. So it’s important to carefully estimate how much you contribute to your account(s).
 Account

 Life and AD&D       All HCSA and DCSA funds must be used by December 31 of the current plan year and claimed by March 31 of the
 Insurance           following year; unclaimed funds are forfeited.
 Disability
                     A Snapshot of the HCSA and DCSA
 401(k) Retirement
 Savings Plan
                                                                        Healthcare Spending Account                          Dependent Day Care Spending Account
Other Benefits        Eligible Expenses                         Medical, prescription, dental, vision               Day care expenses for:
and Discounts
                                                                                                                    •   Your dependent children under the age of 13
Important Contacts                                                                                                  •   Y our spouse or other federal tax dependent who is
                                                                                                                         physically or mentally incapable of caring for himself
                                                                                                                         or herself
                      Minimum/Maximum Contributions             $130 – $2,550 per year                              $130 – $5,000 per year
                                                                                                                    Maximum contribution amount may vary depending on
                                                                                                                    certain compensation criteria
                      Funds Availability                        On the first day of plan effective date             As balance is available

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

     29
What’s                  Know                    Health                Financial
                                                                                           Financial                 Other     Important
    Home              New                  and Enroll                Options                Options
                                                                                            Options                 Benefits    Contacts

What’s New           Healthcare Spending Account (HCSA)
Know and Enroll      If you elect to contribute to a Healthcare Spending Account, you will be able to access the entire amount that you
                     choose to set aside as of the plan effective date, even though you contribute to the account throughout the year via
Health Options       payroll deduction.
Financial Options    If you enroll in the Health & Savings Plan with HSA… you are not eligible to elect an HCSA.
 Flexible Spending   If you enroll in the Health & Reimbursement Plan with HRA… your HCSA will coordinate with the HRA. Funds
 Accounts
                     for eligible expenses will be taken from your HCSA first due to the “lose it or use it” rule.
 Healthcare
 Spending
 Accounts            Using Your HCSA Funds
 Dependent Day       If you enroll in an HCSA, you will receive a Your Spending Account™ (YSA) debit card that you can use to pay eligible
 Care Spending
 Account             expenses at the point of service (for example, at the pharmacy counter).
 Life and AD&D       You also may pay with your own money and file a claim for reimbursement. When you file a reimbursement claim,
 Insurance
                     you must also submit receipts. When you use your debit card, you usually do not have to submit receipts, but it’s a
 Disability          good idea to keep them for your records in case of an IRS audit.

 401(k) Retirement
 Savings Plan
                     Eligible Expenses
                     You may use HCSA funds for medical, prescription, dental and vision expenses that are not covered by your
Other Benefits
and Discounts        insurance plan (for example, co-pays, co-insurance, glasses, etc.). The Internal Revenue Service (IRS) determines
                     which expenses are eligible for retirement. For more information, you can visit the IRS website at www.irs.gov for
Important Contacts   more details.

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know                    Health                Financial
                                                                                           Financial                 Other     Important
    Home              New                  and Enroll                Options                Options
                                                                                            Options                 Benefits    Contacts

What’s New           Dependent Day Care Spending Account (DCSA)
Know and Enroll      To be eligible for a Dependent Day Care Spending Account, both you and your spouse (if applicable) must be
                     working, be looking for work or be full-time students.
Health Options
                     You can use your DCSA to pay the following expenses:
Financial Options
                     • Nursery schools, child care centers or individuals who care for pre-school children (the individual providing care
 Flexible Spending     may be a relative but cannot also be your dependent)
 Accounts
                     • Before-school or after-school care for children from kindergarten through age 12 or for a disabled dependent of
 Healthcare            any age (includes meals, lodging and payroll taxes of a housekeeper/nanny)
 Spending
 Accounts            • Providers outside the home who care for a disabled dependent
 Dependent Day
 Care Spending       • Summer day-camp programs in lieu of day care for which your dependent receives no educational credit
 Account
                     For a complete list of eligible expenses, you can visit the IRS website at www.irs.gov.
 Life and AD&D
 Insurance

 Disability

 401(k) Retirement
 Savings Plan

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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What’s                  Know                    Health                Financial
                                                                                           Financial                 Other     Important
    Home              New                  and Enroll                Options                Options
                                                                                            Options                 Benefits    Contacts

What’s New           Life and AD&D Insurance
Know and Enroll      Basic Employee Life
Health Options       Basic employee life insurance provides your beneficiaries a payment in the event of your death. Coverage
                     is equal to one times your base salary, up to $50,000. Tenet pays the entire cost of this benefit.
Financial Options
                     Basic Employee AD&D
 Flexible Spending
 Accounts            Basic employee accidental death and dismemberment (AD&D) provides a payment to:
 Healthcare          • Your beneficiaries if your death is due to an accident; or
 Spending
 Accounts            • If you are seriously injured in an accident (for example, you lose a limb).
 Dependent Day
 Care Spending       Coverage is equal to one times your base salary, up to $50,000. Tenet pays the entire cost of this benefit.
 Account

 Life and AD&D       Beneficiaries
 Insurance
    Basic Life
                     Make sure your beneficiaries are on file with Tenet. You can enter them during the enrollment process,
    Basic AD&D
                     or go to MyTenet.com and click on the “Benefits Enrollment Website” link to update.
    Beneficiaries
    Supplemental
    Life and AD&D
                                                                                                                                    Continued
    Evidence of
    Insurability

 Disability

 401(k) Retirement
 Savings Plan

Other Benefits
and Discounts

Important Contacts

                     If you are covered by a Collective Bargaining Agreement, contact your Human Resources Department
                     and/or union representative as your plan provisions may be different.

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